Testing a Theoretical Model Predicting Uncertainty and Depression in Patients Undergoing Renal Replacement Therapy in Korea

PurposeThe purpose of this study was to test hypothesized relationships among experiences of uncertainty, depression, and social support in a sample of subjects undergoing renal replacement therapy in Korea.MethodsPath analysis was used in the sample to examine the relationships among depression and experiences of uncertainty, direct social support, indirect social support, and demographic variables. The size of the sample was 104 patients. Patients received either hemodialysis at one of three clinics or continuous ambulatory peritoneal dialysis.ResultsOne hundred and four subjects participated in the study. It was found that 6.2% of variance in uncertainty was predicted by direct social support (β =− .267), and 46.2% of variance in depression was predicted by three variables: direct social support (β =− .517), economic status (β = .299), and number of admissions (β = .275). Unlike the theoretical model, experiences of uncertainty could not predict depression.ConclusionThe effectiveness of social support in relieving experiences of uncertainty and consequently depression was shown in this study. Moreover, depression in this population could be predicted by direct social support, economic status, and frequency of admission. The study was needed to investigate the relationship between depression and experiences of uncertainty with time covariates, as well as to find the factors that influence depression in patients with chronic renal failure

Extension of measurement range in OCDR based on double-modulation scheme

We extend the measurement range of optical correlation-domain reflectometry (OCDR) by modulating the laser output frequency at two frequencies, while preserving spatial resolution. We demonstrate distributed reflectivity sensing with a ten-fold extended measurement range.Comment: 4 pages, 6 figure

When sex doesn’t sell to men: Mortality salience, disgust and the appeal of products and advertisements featuring sexualized women

Although men typically hold favorable views of advertisements featuring female sexuality, from a Terror Management Theory perspective, this should be less the case when thoughts of human mortality are salient. Two experiments conducted in South Korea supported this hypothesis across a variety of products (e.g., perfume and vodka). Men became more negative towards advertisements featuring female sexuality, and had reduced purchase intentions for those products, after thinking about their own mortality. Study 2 found that these effects were mediated by heightened disgust. Mortality thoughts did not impact women in either study. These findings uniquely demonstrate that thoughts of death interact with female sex-appeal to influence men’s consumer choices, and that disgust mediates these processes. Implications for the role of emotion, and cultural differences, in terror management, for attitudes toward female sexuality, and for marketing strategies are discussed

Observation of Rayleigh scattering by simplified optical correlation-domain reflectometry without frequency shifter

We present a method for measuring the transmission loss of an optical fiber using simplified optical correlation-domain reflectometry. By intentionally lowering the spatial resolution of the system, we observe the Rayleigh scattered signal for the first time without the need for a frequency shifter. Using this method, we simultaneously measure the transmission loss, location, and loss of faulty connections along a 10-km-long fiber under test by performing distributed reflected-power measurements of Rayleigh scattering and Fresnel reflection

Cardiac function associated with home ventilator care in Duchenne muscular dystrophy

PurposeCardiomyopathy is becoming the leading cause of death in patients with Duchenne muscular dystrophy because mechanically assisted lung ventilation and assisted coughing have helped resolve respiratory complications. To clarify cardiopulmonary function, we compared cardiac function between the home ventilator-assisted and non-ventilator-assisted groups.MethodsWe retrospectively reviewed patients with Duchenne muscular dystrophy from January 2010 to March 2016 at Gangnam Severance Hospital. Demographic characteristics, pulmonary function, and echocardiography data were investigated.ResultsFifty-four patients with Duchenne muscular dystrophy were divided into 2 groups: home ventilator-assisted and non-ventilator-assisted. The patients in the home ventilator group were older (16.25±1.85 years) than those in the nonventilator group (14.73±1.36 years) (P=0.001). Height, weight, and body surface area did not differ significantly between groups. The home ventilator group had a lower seated functional vital capacity (1,038±620.41 mL) than the nonventilator group (1,455±603.12 mL). Mean left ventricular ejection fraction and fractional shortening were greater in the home ventilator group, but the data did not show any statistical difference. The early ventricular filling velocity/late ventricular filling velocity ratio (1.7±0.44) was lower in the home ventilator group than in the nonventilator group (2.02±0.62). The mitral valve annular systolic velocity was higher in the home ventilator group (estimated β, 1.06; standard error, 0.48). Patients with Duchenne muscular dystrophy on a ventilator may have better systolic and diastolic cardiac functions.ConclusionNoninvasive ventilator assistance can help preserve cardiac function. Therefore, early utilization of noninvasive ventilation or oxygen may positively influence cardiac function in patients with Duchenne muscular dystrophy

Epidemiology of sepsis in Korea: a population-based study of incidence, mortality, cost and risk factors for death in sepsis

Objective To investigate the epidemiology of sepsis in Korea and identify risk factors for death in sepsis. Methods We conducted a longitudinal, population-based epidemiological study of sepsis in Korea from 2005 to 2012 using the National Health Insurance Service-National Sample Cohort, a population-based cohort representing 2.2% of the Korean population. The primary objective was to assess the incidence, mortality and cost of sepsis. The secondary objective was to identify the risk factors for death in sepsis. Claim records of admitted adult patients (aged ≥15 years) were analyzed. Sepsis was defined as 1) bacterial or fungal infection or the conditions they often complicate, 2) prescription of intravenous antibiotics, and 3) presence of any organ dysfunction. Comorbidities were defined using the Charlson/Deyo method. Risk factors for 6-month mortality were assessed using multivariable logistic regression. Results A total of 22,882 cases were identified. Both incidence and 6-month mortality increased from 265.7 (95% confidence interval [CI], 254.7 to 277.1) to 453.1 (95% CI, 439.0 to 467.5) per 100,000 person-years (P-trend <0.001) and from 26.5% (95% CI, 24.4% to 28.8%) to 30.1% (95% CI, 28.4% to 31.9%), respectively. After standardization, the increasing trend of incidence was slower but still significant (P-trend <0.001), while that for mortality was not (P-trend 0.883). The average cost increased by 75.5% (P-trend <0.001). Multivariable logistic regression identified various risk factors for mortality. Conclusion The burden of sepsis in Korea was high and is expected to increase considering the aging population. Proactive measures to curtail this increase should be sought and implemented